| Entity Name: | FREEPORT FAMILY CHIROPRACTIC CLINIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Jun 2006 (19 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 01 Oct 2020 (4 years ago) |
| Document Number: | L06000057921 |
| FEI/EIN Number | 204994667 |
| Address: | 40 WASHINGTON STREET, FREEPORT, FL, 32439, US |
| Mail Address: | 40 WASHINGTON STREET, FREEPORT, FL, 32439, US |
| ZIP code: | 32439 |
| County: | Walton |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992902100 | 2007-06-29 | 2008-02-20 | 40 WASHINGTON ST., FREEPORT, FL, 32439, US | 40 WASHINGTON ST., FREEPORT, FL, 32439, US | |||||||||||||||||||||||||
|
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| Phone | +1 850-835-9867 |
| Fax | 8508806089 |
Authorized person
| Name | DR. JENNIFER LOGAN LAIRD |
| Role | OWNER |
| Phone | 8508359867 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH8844 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 76145 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LAIRD JENNIFER LDr. | Agent | 40 WASHINGTON STREET, FREEPORT, FL, 32439 |
| Name | Role | Address |
|---|---|---|
| LAIRD JENNIFER L | Manager | 40 WASHINGTON STREET, FREEPORT, FL, 32439 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2020-10-01 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-10-22 | LAIRD, JENNIFER L, Dr. | No data |
| REINSTATEMENT | 2019-10-22 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-04-05 | 40 WASHINGTON STREET, FREEPORT, FL 32439 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-04-05 | 40 WASHINGTON STREET, FREEPORT, FL 32439 | No data |
| CHANGE OF MAILING ADDRESS | 2007-04-05 | 40 WASHINGTON STREET, FREEPORT, FL 32439 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-02-17 |
| ANNUAL REPORT | 2022-03-04 |
| ANNUAL REPORT | 2021-05-01 |
| REINSTATEMENT | 2020-10-01 |
| REINSTATEMENT | 2019-10-22 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-04-30 |
| ANNUAL REPORT | 2015-04-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
